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North Carolina rates for HCPCS E2389

Power wheelchair accessory, foam caster tire, any size, replacement only, each

Facilitymedian $19 · 10th–90th $2–$1550%10%10th90th$19Professionalmedian $22 · 10th–90th $17–$220%50%10th$22$1.0$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $21.88 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $21.38 / $37.15
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $19.05 / $19.05
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $22.39 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $10.96 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $16.60 / $30.20
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $154.88 / $154.88